Current through Register Vol. 60, No. 12, December 1, 2021
(1) No later than 134 days prior to the end
of a benefit period, the Authority shall provide each CCO with notice of the
proposed changes to the terms and conditions of the contract for the next
benefit period that the Authority submits to the Centers for Medicare and
Medicaid Services for approval.
If a CCO declines a contract renewal with the Authority, the CCO must notify
the Authority of its intention not to enter into the contract renewal no later
than 14 days after the Authority's notice of proposed changes as described in
A CCO's notice to
the Authority of intent not to enter into a contract renewal terminates the
contract at the end of the benefit period unless:
The Authority at its discretion requires
the contract to remain in force into the next benefit period and be amended as
proposed by the Authority until 90 days after the CCO has in accordance with
criteria prescribed by the Authority:
Notified each of its members and contracted providers of the termination of the
(B) Provided to the
Authority a plan to transition its members to other CCOs; and
(C) Provided to the Authority a plan for
closing out its CCO business.
(b) The Authority may at its discretion waive
compliance with the deadlines stated in sections (2) or (3) if the Authority
determines such waiver to be consistent with the effective and efficient
administration of the medical assistance program and the protection of medical
(4) A CCO that declines to renew its contract
shall comply with the termination and close-out requirements in OAR
410-141-3710, except as otherwise provided in this rule.
Or. Admin. R.
56-2019, adopt filed 12/17/2019, effective
Statutory/Other Authority: ORS
414.651 & 414.652
Statutes/Other Implemented: ORS